Canyonview Camp

RE-APPLICATION for the Teens in Ministry (T.I.M.) Program

DUE BY MARCH 5th! RETURN TO:

Attn: T.I.M. Program
Canyonview Camp
Graduation Year: ___________ Applying for summer 20______
PO Box 128
Silverton, Oregon 97381
Desired Animal Camp Name: __________________________________
503-873-8296
Full Name Date of Application / /

Home Address
Street City State Zip

Home Phone ( ) - Cell ( ) - Date of birth _/ /

Age Gender Email Address

Home Church Pastor ________

Youth Pastor_______________________________________________________

Preferred Adult T-Shirt Size: X-Small Small Medium Large X-Large XX-Large XXX
Large

Are you in good health? Any physical limitations? If so, please describe:

Experience as a camper (years and place)

Canyonview ministry experience (years and place)

With which age group(s) do you work best?

Please note: There is an $85 base fee for entrance into the TIM Program to cover insurance, material, and activity costs.
Also, each week of service is an additional $30 to cover room and board costs.

Please indicate which session you whish to be involved in.

Check first and second choices. There are no guarantees you will get what you put as a first choice.

Session One (June 20-July 17) 1st Choice____2nd Choice____

Place a real picture here.
Session Two (July 18-Aug 14) 1st Choice____ 2nd Choice____ Stick figures and self-
portraits don’t count.
Session Three (Aug 15-Sept 3) 1st Choice_____2nd Choice____ 

ALSO VERY IMPORTANT!!! List Extra Weeks Available: For Identification Only.
_________________________________________________________________
_________________________________________________________________ This is not optional…
_________________________________________________________________
_________________________________________________________________
Please answer the following questions:
1. Why do you want to be a part of the Canyonview Teens in Ministry Program again?

2. Explain your greatest spiritual strength and your greatest spiritual weakness.

3. How would you explain salvation and what it means to become a Christian to a camper? (Use scripture references.)

4. Are you currently being discipled by anyone? If so, what does that look like? If not, do you have that desire?

5. On your own (i.e. apart from youth group, church services, small groups, etc…), what have you been reading in the Word and
what are you learning?
6. How often do you pray? What do you typically tend to pray about?

7. Please describe your personal relationship with Jesus.

Signature: Date:
 Canyonview Camp
REC O M M EN DATIO NS FOR T.I. M. Prog ra m

To be completed by a Parent/Guardian RETURN TO:

Attn: T.I.M. Program
CANYONVIEW CAMP
PO Box 128
APPLICANT’S NAME:
Silverton, Oregon 97381
ADDRESS: CITY: STATE: ZIP:

POSITION APPLYING FOR: 1. TEEN IN MINISTRY.

The above named person is applying to serve at Canyonview Camp. The personal information requested below will
supplement that provided by personal interview. It is of great importance to us to obtain objective and valid statements from
persons who have some personal knowledge of the applicant's ability and characteristics.

The early return of this form (March 1) is appreciated as it will expedite the processing of the candidate's application. Any
information, which you give us, will be regarded as strictly confidential. Please send this form directly to Canyonview Camp.

1. Is the applicant a Christian? Has the applicant ever shared his/her personal commitment with you?

2. If the applicant were to be hired at Canyonview, what would your attitudes, feelings, or comments be?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

3. Please list one positive and one negative characteristic of the applicant.
Positive Negative

4. Are you recommending the applicant because of what they can contribute to our camping program? Or because of what we can
do for him/her? Or both?

5. Please check one of the following blanks that best describes the applicant. Your comments are very valuable to us. The applicant is:

Generally Sometimes Not Often Comments

Able to follow instructions

Loyal

Outgoing and friendly

An able leader of others

Consistent in Christian testimony

Disciplined in personal habits

Enthusiastic

Able to adjust to different situations

Able to cope with other's problems

Not easily offended

Not inclined to criticize others

 Generally Sometimes Not Often Comments

Not moody

Talkative

Able to work in a team situation

Additional Comments:

7. Please grade the applicant 1, 2, 3, or 4 on the following characteristics and traits: 1 Superior; 2 Above average; 3 Average; 4 Weak
in that area. Please evaluate the applicant in relationship to his/her own age group.

______ Personal appearance ______ Courtesy

______ Tact ______ Honesty and personal integrity
______ Physical condition ______ Willingness
______ Dependability ______ Punctuality
______ Judgment ______ Initial impression
______ Ability to make friends ______ Proper attitude toward opposite sex
______ Sense of humor ______ Proper attitude toward authority
______ Initiative ______ Attitude toward hard work

8. There is a possibility that the applicant would be selected as a T.I.M.; would you consider the applicant qualified to counsel younger
children? Yes No

9. To your knowledge has this person ever been charged with or convicted of any criminal offense? ________ If yes, give the state or
county where offense occurred (if known). __________________________________

10. Please check your choice of recommendation:

I strongly recommend I recommend with some reservation

I recommend I do not recommend

Additional Comments:

SIGNATURE NAME (Print)

ADDRESS DATE

POSITION & ORGANIZATION PHONE

Thanks for your assistance! ~ the Canyonview Teens In Ministry Program

 Canyonview Camp
REC O M M EN DATIO NS FOR T.I. M. Prog ra m

To be completed by a Pastor or Youth Pastor RETURN TO:

(Non-family members.)
T.I.M. Program
CANYONVIEW CAMP
Post Office Box 128
APPLICANT’S NAME:
Silverton, Oregon 97381
ADDRESS: CITY: STATE: ZIP:
POSITION APPLYING FOR: 1. TEEN IN MINISTRY.
The above named person is applying to serve at Canyonview Camp. The personal information requested below will
supplement that provided by personal interview. It is of great importance to us to obtain objective and valid statements from
persons who have some personal knowledge of the applicant's ability and characteristics.

The early return of this form (March 1) is appreciated as it will expedite the processing of the candidate's application. Any
information, which you give us, will be regarded as strictly confidential. Please send this form directly to Canyonview Camp.

1. How long have you known the applicant? In what capacity?

2. Is the applicant a Christian? Has the applicant ever shared his/her personal commitment with you?

3. If the applicant were to be hired at Canyonview, what do you think the attitudes, feelings, or comments from their parents or other
relatives might be?

4. Please list one positive and one negative characteristic of the applicant.
Positive Negative

5. Are you recommending the applicant because of what they can contribute to our camping program? Or because of what we can
do for him/her? Or both?

6. Please check one of the following blanks that best describes the applicant. Your comments are very valuable to us. The applicant is:

Generally Sometimes Not Often Comments

Able to follow instructions

Loyal

Outgoing and friendly

An able leader of others

Consistent in Christian testimony

Disciplined in personal habits

Enthusiastic

Able to adjust to different situations

Able to cope with other's problems

Not easily offended

Not inclined to criticize others

 Generally Sometimes Not Often Comments

Not moody

Talkative

Able to work in a team situation

7. Please grade the applicant 1, 2, 3, or 4 on the following characteristics and traits: 1 Superior; 2 Above average; 3 Average; 4 Weak
in that area. Please evaluate the applicant in relationship to his/her own age group.

______ Personal appearance ______ Courtesy

______ Tact ______ Honesty and personal integrity
______ Physical condition ______ Willingness
______ Dependability ______ Punctuality
______ Judgment ______ Initial impression
______ Ability to make friends ______ Proper attitude toward opposite sex
______ Sense of humor ______ Proper attitude toward authority
______ Initiative _______ Attitude toward hard work

8. Please briefly answer the following questions:

A. How has the applicant been involved in your church?

B. Would you consider them spiritually equipped to assist in shepherding/leading a group of children younger than them?
Explain.

C. Is their Christian testimony consistent? How or how not?

 D. Does the applicant display the heart of a servant? How or how not?

E. How do they handle new or unpredictable situations?

F. What is the applicant’s attitude towards authority?

8. There is a possibility that the applicant would be employed as a camp counselor; would you consider the applicant qualified to
counsel your child or teenager? Yes No

9. To your knowledge has this person ever been charged with or convicted of any criminal offense? ________ If yes, give the state or
county where offense occurred (if known). ________________________________

10. Please check your choice of recommendation:

I strongly recommend I recommend with some reservation

I recommend I do not recommend

Additional Comments:

SIGNATURE NAME (Print)

ADDRESS DATE

POSITION & ORGANIZATION PHONE

Thanks for your assistance! ~ the Canyonview Teens In Ministry Program